Review Article

The Treatment with Complementary and Alternative Traditional Chinese Medicine for Menstrual Disorders with Polycystic Ovary Syndrome

Table 2

The summary of randomized studies of acupuncture treatment on PCOS menstrual disorders.

Study IDDesignSample size (human)InterventionsTreatment durationOutcomesLimitation

72RCT86Treatment arm: Abdominal acupuncture Control arm: metformin6 months1. HOMA-IR were reduced significantly in the two groups ().2. Menstrual frequency, HDL-C, follicle-stimulating hormone increased in both groups ().Lack of sham methods
74RCT342Treatment arm: true acupuncture + metformin placebo Control arm: sham acupuncture + metformin, sham acupuncture + metformin placebo4 monthsTreatment arm: HOMA-IR decrease 25% Control arm: HOMA-IR decrease 5%The limitation of being a single center study without comparison groups
76RCT181Treatment arm: acupuncture group Control arm: same physical therapists10–13 weeksTreatment arm: effective rate, 62.5% (10 of 16) Control arm: effective rate, 41.6% (5 of 12)
77RCT60Treatment arm: Tung’s acupuncture group Control arm: CPA/EE group12 weeksTreatment arm: LH/FSH ratio −0.66, Control arm: not mentionedClinical improvement of symptoms was not examined in this study
78Nonrandomized, longitudinal, prospective study60Treatment arm: electro-acupuncture group Control arm: No intervention3 monthsTreatment arm: effective rate, 37.5 % (9 of 24) Control arm: not mentionedThe sample size is small
80RCT84Treatment arm: low-frequency electro-acupuncture Control arm: no intervention16 monthsTreatment arm: effective rate, 72.9% (43 of 59) Control arm: effective rate, 33.3% (5 of 15)Low success rate to confirm ovulation (data not shown)
81RCT84Treatment arm: electro-acupuncture group; Physical exercise Control arm: no intervention32 weeksTreatment arm: effective rate, 74.4% (32 of 43) Control arm: effective rate, 48.7% (20 of 41)The sample size is small
82RCT32Treatment arm: acupuncture group Control arm: attention control4 monthsTreatment arm: effective rate, 68.75 % (11 of 16) Control arm: effective rate, 37.5 % (6 of 16)
88RCT143Treatment arm: true acupuncture Control arm: sham acupuncture5 monthsTreatment arm: effective rate, 57.5% (23 of 40) Control arm: effective rate, 47.7 % (21 of 44)
109RCT70Treatment arm: heat-sensitive moxibustion plus clomifene citrate capsules Control arm: oral clomifene citrate capsules6 monthsTreatment arm: effective rate, 51.5% (18 of 35) Control arm: effective rate, 20 % (7 of 35)The sample size is small
111RCT84Treatment arm: metformin and acupoint thread-embedding Control arm: oral metformin3 monthsTreatment arm: effective rate, 87.5 % (35 of 40) Control arm: effective rate, 65.9 % (27 of 41)The sample size is small